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General NPI Number Information
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NPI Number | 1124635933
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Entity Type | Organization
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Legal Business Name | MASON J CARP MD
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 4212 LINGLESTOWN RD
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City | HARRISBURG
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State | PA
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Zip | 17112-1025
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Country | US
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Telephone | 717-657-7025
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Fax |
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Provider Business Mailing Address
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Address Line | 4212 LINGLESTOWN RD
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City | HARRISBURG
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State | PA
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Zip | 17112-1025
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Country | US
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Telephone | 717-657-7025
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Fax | 301-774-0505
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Authorized Official
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Title or Position | PRESIDENT
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Name | MASON J CARP
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Credential | MD
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Telephone | 301-370-0810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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